Medical Group of North Jersey
Medical Group of North Jersey was paid $1.87M by Medicaid between Jan 2018 and Nov 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoMEDICAL GROUP OF NORTH JERSEY
HALEDON, NJ 07508
HALEDON, NJ 07508
33aNPI1114972064assigned 05/22/2006
33bProvider typeSpecialist
28Total paid$1.87M
24GClaims117,671
24DCodes billed72
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in New Jersey
Rank by total paid#35 of 378
Median peer was paid$63K
This provider vs. median30×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 21,747 | $454K | |
| 2019 | 18,610 | $400K | |
| 2020 | 10,482 | $200K | |
| 2021 | 10,999 | $291K | |
| 2022 | 14,861 | $285K | |
| 2023 | 25,079 | $225K | |
| 2024incomplete | 15,893 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 16,684 | 13,731 | $697K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 29% | 9,121 | 7,825 | $534K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 6.0% | 4,138 | 936 | $111K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.7% | 997 | 924 | $88K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.7% | 2,994 | 1,982 | $69K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.7% | 781 | 734 | $68K |
| 93000 | 1.5% | 3,518 | 3,175 | $28K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.4% | 476 | 409 | $27K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 287 | 271 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 665 | 564 | $19K |
| 93040 | 1.0% | 2,942 | 2,658 | $19K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 388 | 361 | $18K |
60 more codes
| 90682 | <1% | 554 | $16K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,541 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,355 | $13K |
| 94760 | <1% | 22,677 | $12K | |
| 99490 | Ccm add 20min | <1% | 1,300 | $12K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 442 | $11K |
| 90674 | <1% | 654 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,542 | $9K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 104 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 522 | $7K |
| 99223 | Prolong inpt eval add15 m | <1% | 115 | $6K |
| 81000 | <1% | 2,717 | $6K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 118 | $5K |
| 87070 | <1% | 960 | $4K | |
| 99305 | <1% | 87 | $4K | |
| 72082 | <1% | 99 | $4K | |
| 99397 | <1% | 70 | $4K | |
| 86769 | <1% | 193 | $3K | |
| 81001 | <1% | 1,830 | $3K | |
| 77080 | <1% | 96 | $2K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 16 | $2K |
| 99496 | <1% | 26 | $2K | |
| 86870 | <1% | 242 | $797.70 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 230 | $644.96 |
| 90732 | <1% | 17 | $468.32 | |
| 94070 | <1% | 19 | $466.25 | |
| 94729 | <1% | 19 | $433.77 | |
| 83013 | <1% | 47 | $394.05 | |
| 81002 | <1% | 444 | $379.57 | |
| 94727 | <1% | 19 | $322.02 | |
| 94375 | <1% | 18 | $191.70 | |
| 93923 | <1% | 30 | $179.38 | |
| 90653 | <1% | 17 | $160.00 | |
| 92250 | <1% | 38 | $159.98 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 18 | $159.34 |
| G0008 | Administration of influenza virus vaccine | <1% | 32 | $134.22 |
| 99000 | <1% | 1,703 | $130.09 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 22 | $82.77 |
| 90661 | <1% | 22 | $73.70 | |
| 93922 | <1% | 30 | $66.57 | |
| 90694 | <1% | 16 | $66.43 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 149 | $50.20 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 192 | $49.10 |
| 94060 | <1% | 20 | $45.84 | |
| 94618 | <1% | 20 | $38.49 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 15 | $30.65 |
| 99406 | <1% | 123 | $24.75 | |
| 94010 | <1% | 21 | $18.00 | |
| 94200 | <1% | 20 | $17.62 | |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | <1% | 28 | $10.00 |
| 2001F | 0% | 4,123 | $0.00 | |
| 2010F | 0% | 4,124 | $0.00 | |
| 2000F | 0% | 4,218 | $0.00 | |
| 3008F | 0% | 4,095 | $0.00 | |
| 99457 | 0% | 38 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| 99439 | 0% | 16 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,234 | $0.00 |
| 1160F | 0% | 4,100 | $0.00 | |
| 1159F | 0% | 4,130 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialKAHF, AHMAD (OWNER)